Find out how to treat inverse psoriasis, a skin condition that may develop in the armpits, under breasts, on the groin, or in other skin folds. Inverse psoriasis affects the skin inside the folds of your body. The skin in these areas is more sensitive, so the condition can be a challenge to manage and treat. Inverse psoriasis can compromise genital skin folds as part of genital psoriasis, and it is one of the most commonly seen dermatoses of this area in both females and males 1. In most cases, genital psoriasis can accompany plaque psoriasis lesions on other parts of the body, but it has also been reported as being isolated to the genital skin; this form of presentation is rare and occurs in only 2 5 of psoriatic patients 7, 8. Treatment options are limited and difficult to determine because of the lack of evidence-based data, high sensitivity of the area involved, and increased penetration of topical treatments in this vulnerable zone, making it a challenge for the clinician. Inverse psoriasis affects sensitive areas of the body prone to perspiration, such as the armpits and the groin. Terry di Paolo, a 38-year-old event conference producer in New York City, knows well the challenge of living with inverse psoriasis. The diagnosis helped us realize that it was all related.
In a person with psoriasis, the body produces more and more skin cells, even when they’re not needed. Inverse psoriasis got its name because it appears in the inverse, or opposite, parts of the body as plaque psoriasis. While it is easy to relieve the symptoms of itch and discomfort, treating the lesions effectively is more challenging. Emollients – are an important part of the daily care of psoriasis in all parts of the body, including the genitalia. They help to make the skin more comfortable. However, some of them do have the potential to irritate sensitive areas such as the genitalia. UV light treatment – is not usually recommended for genital psoriasis due to an increased risk of skin cancer in this area. Patients with more than 5 to 10 percent body surface area affected are generally candidates for phototherapy or systemic therapy, since application of topical agents to a large area is not usually practical or acceptable for most patients. Scalp psoriasis The presence of hair on the scalp can make topical treatment of psoriasis challenging because patients may find certain products messy or difficult to apply. Based upon data from open-label or retrospective studies and case reports, a panel of experts suggested that patients with severe, unstable disease should be treated with cyclosporine or infliximab due to the rapid onset and high efficacy of these agents 12.
Because inverse psoriasis appears in moist areas where the typical dry scale of psoriasis does not form. Treating psoriasis within skin folds with topical medications is often challenging. The skin there tends to be more sensitive, can absorb excessive amounts of medication, and is prone to fungal infections. Different medications may be tried for the treatment of inverse psoriasis, sometimes at lower-than-normal concentrations, including coal tar, and anthralin. However, people tend to have areas that are more prone to developing lesions than others. Some places are particularly challenging to treat, including the scalp, face, hands, feet, and nails. Erythrodermic psoriasis is a type of psoriasis that leads to severely inflamed and reddened skin over most of the body. Different medications may be tried for the treatment of inverse psoriasis, sometimes at lower-than-normal concentrations, including coal tar, and anthralin. Vulvovaginal atrophy occurs due to decreasing oestrogen levels. The inherent sensitivity of the vulvovaginal skin, progressive oestrogen deficiency and the close proximity of the urethral opening and the anus, combined with skin changes due to ageing make conditions affecting the vulvovaginal skin common and a cause of distress for many post-menopausal women. The atrophic changes also make the vulvovaginal skin more vulnerable to trauma and infection. Stronger topical treatments used for psoriasis affecting other parts of the body (e.g. dithranol cream, coal tar preparations) may be too irritating for use in the vulvovaginal area, although they can be used for short periods and washed off or diluted in an emollient.
Inverse Psoriasis Or Flexural Psoriasis: The Difference?
This is just part of the article. Eczema and psoriasis are some of the most challenging skin conditions encountered by skin care professionals. This rapid spike in apparent incidence is cause for concern, and may be due to many factors, such as inadequate diet, pollution and other environmental stressors. In contrast to eczema, psoriasis is more likely to be found on the outer side of the joint. Variants include plaque, pustular, guttate and flexural psoriasis. The most common form, plaque psoriasis causes dry, raised, red skin lesions (plaques) covered with silvery scales. Mainly affecting the skin in the armpits, in the groin, under the breasts and around the genitals, inverse psoriasis causes smooth patches of red, inflamed skin. The cause of psoriasis isn’t fully known, but it’s thought to be related to an immune system problem with cells in your body. Low-potency corticosteroid ointments are usually recommended for sensitive areas, such as your face or skin folds, and for treating widespread patches of damaged skin. Acute flare-ups vary in appearance from vesicles to areas of poorly demarcated redness. In children and in adults with long-standing disease, eczema is often localised to the flexure of the limbs. Most children with mild atopic eczema do not need clinical testing for allergies. Alitretinoin is recommended as a treatment option for adults with severe chronic hand eczema that has not responded to potent topical corticosteroids, if the person has severe disease and a Dermatology Life Quality Index (DLQI) score of 15 or more. Related blog posts. These are sensitive body areas and treatment can be a challenge. The blisters therefore only affect one area of the body and do not cross the midline. The pain characteristic of herpes zoster is thought to be due to irritation of the sensory nerve fibers in which the virus reproduces. There are many treatments available but because of its chronic recurrent nature psoriasis is a challenge to treat.
Inverse psoriasis affects obese people more than people with normal weight and 2 to 6 of all people suffering from standard psoriasis also suffer from inverse psoriasis. Treatment for inverse psoriasis is rather challenging and sometimes difficult since this skin condition affects the most sensitive areas of the body. Treatment for inverse psoriasis is rather challenging and sometimes difficult since this skin condition affects the most sensitive areas of the body. Related Articles.